Fly-By medical care: Conceptualizing the global and local social responsibilities of medical tourists and physician voluntourists

Table 1 The 4Rs of Ethically Sound Research

Ethical Principle	Strategy
Respect	Valuing cultures' and communities' diverse knowledges regarding health matters and developing knowledge that contributes to communities' and cultures' health and wellbeing
Relevance	Ensuring that research (or practice) is relevant to the culture and community
Reciprocity	Incorporating a two-way process of knowledge exchange and learning, where all parties benefit from these opportunities and the development of relationships
Responsibility	Fostering empowerment through allowing for active participation and rigorous engagement by all parties